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Text of CMS Reissued 2019 Benefit Year HHS Risk Adjustment Data Validation Results and 2020 Benefit Year HHS-RADV Results (PDF)
Centers for Medicare & Medicaid Services [CMS], U.S. Department of Health and Human Services [HHS] Link to more items from this source
[Official Guidance]
Sept. 16, 2022

30 pages. "This memo provides summary information on issuers' reissued 2019 benefit year HHS-RADV results and on issuers' 2020 benefit year HHS-RADV results. The 2019 benefit year HHS-RADV results are being reissued in response to actionable discrepancies under 45 CFR 153.630(d)(2), which challenged the calculation of the 2019 benefit year error rates under the HHS-RADV error estimation methodology."

  • Appendix A: National Program Benchmarks -- 2020 Benefit Year HHS-RADV Compared to Reissued 2019 Benefit Year HHS-RADV (XLSX)
  • Appendix B: 2020 Benefit Year RA State Market Risk Pool Weighted Average Error Rate from the Reissued 2019 Benefit Year HHS-RADV Results and the 2020 Benefit Year HHS-RADV Result (XLSX)
  • Appendix C: 2020 Benefit Year HHS-RADV Failure Rate Group Definitions (XLSX)
  • Appendix D: 2019 Benefit Year HHS-RADV Failure Rate Group Definitions (XLSX)

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